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Washington rates for HCPCS L8512

Gelatin capsules or equivalent, for use with tracheo-esophageal voice prosthesis, replacement only, per 10

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $3.75 / $3.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.65 / $3.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.60 / $18.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $2.08
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $2.54 / $6.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $2.54 / $4.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.54 / $2.79
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.85 / $4.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.48 / $2.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.79 / $2.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1.17 / $1.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.76 / $2.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.16 / $2.16